Margaret Macdowall, a well known and leading figure among pioneer teachers of the mentally defective, was born on July 20th, 1862, at Thornton Dale (her father was Vicar of Rillington in 1864). She had a very delicate girlhood which seriously interfered with her education, but in spite of that she lived to be nearly 68. When special opportunities came, her doctor (attending her for a very sever...

abstract carcinoma of the vulva has commonly been recognized as a disease of postmenopausal women, but some cases have been reported in young women during pregnancy. medical records were reviewed for a patient with vulvar carcinoma diagnosed in pregnancy. using medline and cross references, pertinent articles were sought and reviewed. a 28-year-old afghan woman in her sixth pregnancy presented ...

Her abnormality was first noted in school. She had seemed to make average school progress until she reached 2-A, which grade she repeated. She also repeated the third grade where she became slow and seemed sleepy. Her writing became unintelligible; her speech, incoherent ; and her behavior, unpredictable. She lost her way when sent to school, lost her sense of propriety in school and cried to b...

Seventy-year-old Mary was admitted to the surgical ICU immediately after surgery for repair of a thoracoabdominal aneurysm and renal artery stenosis. Within 24 hours of postoperative care, it became clear she had become paraplegic, unresponsive, and was in acute renal failure. What was the likelihood she would survive all this? And if she did, would she be in a nursing home for her remaining da...

BACKGROUND Blunt thoracic aortic injury (BTAI) is associated with a high mortality rate and the paradigm of treating patients with BTAI currently favours thoracic endovascular aneurysm repair (TEVAR) if possible. In BTAI, lethal malperfusion caused by a pseudoaneurysm has rarely been reported. We present the first report of a successful case in which a pseudoaneurysm causing the infrequent occu...

CASE By the time she was 9 years old and in the middle of her third-grade year, Julie’s parents realized that she had a problem with learning compared to other children. Her mother said that she was “always flighty”—daydreaming and not consistently connected when talking to her friends or family members. At open house, her second-grade teacher commented that “Julie is a good kid, a smart kid, b...

By M. ABDULLA, l.m. & s., L.c.p. & s. (Bom.), Medical Officer in Charge, Municipal Hospital, Vaniyambadi, North Arcot District. A Muslim girl, aged about 18 years, was brought to me by her husband for a lunacy certificate, in order to detain her in one of the lunatic asylums at Madras. The history given to me was that she was married in her 16th year. She was quite healthy prior to her marriage...